Walkie Talkie - Resquisition and Handover Form v2

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REQUISITION OF HANDY WALKIE TALKIE

AND HANDOVER FORM

Date :

Hereby making Requisition of Handy Walkie Talkie to use by:

Company :
Name : Position :
Mobile phone : Extension :
Department : Division :
Justification : Usage Location : Site / Kariangau / Office
Type : Explosion Proof (Digital) Non Explosion Proof (Analog)

During working in RDMP Balikpapan JO, the user must be responsible for damage and loss of company assets. If there is damage
or the walkie talkie is lost, user must be responsible with salary deductions.
Any problem related to company assets must be reported to IT Team.

 Handover From : ( )

Signed by, Approved by, Acknowledge by,


User Dept. Manager IT Manager

Name and Sign Name and Sign Name and Sign


DD/MM/YYYY DD/MM/YYYY DD/MM/YYYY

Note: Please attach the organization chart of your department that includes your name.

HANDOVER FORM
I, Mr/Mrs …………………………………. hereby acknowledged that I have received the below-mentioned assets. I understand that
these assets belong to RDMP Balikpapan JO and is under my possession for carrying out my office work. I hereby assure that I
will take care of the assets of company.

NO Serial Number
ITEM Remark
WT Freq ID WT Battery

Signed by, Handed Over By,


User IT Engineer

Name and Sign


DD/MM/YYYY
INTERNAL USE ONLY

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